Billing & Payments Specialist, Accounts Receivable

Pay Range: $42,000 to $68,000 Note: Individuals typically begin between the minimum to middle of the pay range Receive and process dues remittances from members and groups in accordance with HMSA financial standards and guidelines. This position performs balancing and reconciliation functions relative to daily bank deposits, neighbor island transactions, insufficient funds, group and individual lockbox, and general ledger accounts. The Accounts Receivable Representative will service members and employer groups making payments and/or with billing and payment questions in the Neighborhood Centers with minimal assistance or supervision. The Accounts Receivable Representative must be able to gain the required skills and thorough knowledge of the State Connector, Benefit focus, and HMSA systems to be able to ensure the quality of all related billing and payment activities. The Accounts Receivable Representative must have the ability to perform a variety of complicated assignments and comprehend, analyze and interpret documents such as business policies and procedures to be able to effectively service and resolve member and internal inquiries and provide assistance and support through written correspondence and verbal communication received via email, mail, or telephonically. This includes researching, problem solving, and processing of limited enrollment and accounts receivable related transactions received from employer groups, third party administrators, and members. Minimum Qualifications Associate's degree or an equivalent combination of education and related work experience. Strong verbal and written communication skills Basic level knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point Must have an acceptable credit report to enter into position due to exposure to cash transactions and other negotiable instruments. (This item is a condition of employment.) Duties and Responsibilities Independently process group and direct payments received from walk-in members and groups while providing all customers with an exceptional customer-focused and positive HMSA Center experience. Ensure that the experience meets the customer's needs and exceeds their expectations. Communicate and promote HMSA's brand message and commitment to service excellence. Effectively and independently analyze and research inquiries from customers (internal and external) relating to billing and payments processed by cashiers. Handle customer inquiries (internal and external) by responding to their needs quickly and efficiently. Requires broad understanding of HMSA's business, including the Hawaii Health Connector, HMSA online storefront, LRSP, QNXT, and ancillary systems. Provide quality service in line with HMSA's mission and vision. Assist in bill production for individual subscribers and groups, including cycle billing and demand billing. Performs reconciliations and audits to ensure the billing system, A/R system, and electronic bill presentment system are in balance. Independently resolves any identified variances. Process mailed-in group and direct payments from members and groups. Process rejected and unprocessed payments from Bank of Hawaii Lockbox. Process miscellaneous payments from other departments: Medicaid, Workshops, Administrative Services Only, Long Term Care, etc. Process medical refund checks (HMSA or other) mailed-in by members and providers. Process miscellaneous checks from Finance & Accounting units. Process member Automatic Dues Payment Set-up (DPS) and mailing notification letters. Process QNXT Unapplied Cash Payments. Balance and reconcile deposits, and record payments to various general ledger accounts. Review and conduct analyses to assist the department in maintaining an efficient delinquency and cancellation process for individual subscribers and groups. Includes monitoring delinquent subscribers and groups, generating and mailing delinquency and cancellation letters, and ensuring that cancelled accounts are reconciled accurately. Process routine enrollment and group or subscriber maintenance transactions submitted in the HMSA Centers. Processes returned checks, agent fee bills, and issues petty cash. Balance cash daily and replenish till monthly. Record expenses to proper operating expense general ledger account. Make corrections as needed. Performs all other miscellaneous responsibilities and duties as assigned or directed. EEO is the Law #J-18808-Ljbffr RadNet, Inc.